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首页> 外文期刊>Sao Paulo Medical Journal >Continuing medical education in Brazil: what about obstetricians and gynecologists?
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Continuing medical education in Brazil: what about obstetricians and gynecologists?

机译：巴西的继续医学教育：妇产科医生呢？

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CONTEXT: In Brazil, obstetricians and gynecologists are not required to submit to periodical evaluations to ascertain their professional competence in dealing with new concepts and therapies. OBJECTIVES: To evaluate the performance of a group of obstetricians and gynecologists on a written evidence-based obstetrics test and determine their opinions and use of systematic reviews. TYPE OF STUDY: Prospective cohort. SETTING: Brazilian Obstetrics and Gynecology Congress 2001. METHODS: 230 doctors agreed to participate in the study during a national obstetrics and gynecology congress. Participants took an individual anonymous written multiple-choice test with seven questions on clinical obstetrics, one question on the interpretation of a meta-analysis graph and two questions on their opinions and actual use of systematic reviews. Scores were analyzed and compared after grouping the participants according to year of graduation, residence training, doctoral program and faculty status. RESULTS: The general average score was 49.2 ± 17.4. The scores tended to decline as the years since graduation advanced. Doctors who graduated in the last five years had higher scores than those who graduated over 25 years ago (52.2 versus 42.9). The performance did not vary according to medical residence, postgraduate program or teaching status. While 98.2% considered systematic reviews relevant, only 54.9% said that they routinely used this source of information. DISCUSSION: The participants' average score was low, even though they were highly qualified and trained. Despite the limitations of the study, the results are worrisome. If motivated physicians participating in a national congress obtained such low scores, we can speculate that the results might be even worse among other doctors that do not attend these events. CONCLUSIONS: These findings suggest that Brazilian obstetricians and gynecologists could benefit from continuing medical education and raise questions about the recycling methods currently available.
机译：背景：在巴西，产科医生和妇科医生无需接受定期评估以确定他们在处理新概念和疗法方面的专业能力。目的：评估一组产科医生和妇科医生在以书面证据为基础的产科检查中的表现，并确定他们的意见和系统评价的使用。研究类型：预期队列。地点：2001年巴西妇产科大会。方法：230名医生同意参加全国妇产科大会期间的研究。参加者进行了一项匿名的多项选择笔试，涉及临床产科七个问题，一个关于荟萃分析图解释的问题，两个关于他们的意见和系统评价的实际使用的问题。根据毕业年份，居住培训，博士课程和教职人员对参与者进行分组后，对分数进行分析和比较。结果：总体平均得分为49.2±17.4。自毕业以来，分数趋于下降。最近五年毕业的医生得分高于25年前毕业的医生（52.2比42.9）。表现不会因医疗住所，研究生课程或教学状况而异。尽管98.2％的人认为系统的评论是相关的，但只有54.9％的人说他们定期使用此信息来源。讨论：参与者的高分和受过训练的平均分数很低。尽管研究存在局限性，但结果令人担忧。如果参加全国代表大会的积极进取的医生获得如此低的分数，我们可以推测，在没有参加这些活动的其他医生中，结果可能会更差。结论：这些发现表明，巴西的妇产科医生可以从继续的医学教育中受益，并对目前的回收方法提出质疑。

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